Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement
Identifieur interne : 000369 ( Istex/Corpus ); précédent : 000368; suivant : 000370Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement
Auteurs : M. J. Nevalainen ; T. Rantanen ; T. N Rhi ; A. AinamoSource :
- Journal of Oral Rehabilitation [ 0305-182X ] ; 1997-04.
English descriptors
- KwdEn :
- Articulation, Bergman, Blackwell science, Carlsson, Clinical examination, Complete dentures, Dentistry, Denture, Elderly people, Elderly persons, Finnish, Functional properties, Helsinki, Makila, Mandible, Maxilla, Maxillary dentures, Mechanical condition, Occlusion, Oral health, Oral rehabilitation, Poor occlusion, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthetic treatment, Study group, Subjective opinion, Vertical dimension.
- Teeft :
- Articulation, Bergman, Blackwell science, Carlsson, Clinical examination, Complete dentures, Dentistry, Denture, Elderly people, Elderly persons, Finnish, Functional properties, Helsinki, Makila, Mandible, Maxilla, Maxillary dentures, Mechanical condition, Occlusion, Oral health, Oral rehabilitation, Poor occlusion, Prosthetic, Prosthetic dentistry, Prosthetic rehabilitation, Prosthetic treatment, Study group, Subjective opinion, Vertical dimension.
Abstract
summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.
Url:
DOI: 10.1111/j.1365-2842.1997.tb00323.x
Links to Exploration step
ISTEX:07989A6D5903B1A1B31B124D16B4E79F30196124Le document en format XML
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N Rhi</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.</mods:affiliation></affiliation></author><author><name sortKey="Ainamo, A" sort="Ainamo, A" uniqKey="Ainamo A" first="A." last="Ainamo">A. 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J." last="Nevalainen">M. J. Nevalainen</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</mods:affiliation></affiliation></author><author><name sortKey="Rantanen, T" sort="Rantanen, T" uniqKey="Rantanen T" first="T." last="Rantanen">T. Rantanen</name><affiliation><mods:affiliation>Helsinki IV College for Health Care Professionals, Helsinki, Finland</mods:affiliation></affiliation></author><author><name sortKey="N Rhi, T" sort="N Rhi, T" uniqKey="N Rhi T" first="T." last="N Rhi">T. N Rhi</name><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</mods:affiliation></affiliation><affiliation><mods:affiliation>Correspondence address: Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. 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Ainamo</name><affiliation><mods:affiliation>Faculty of Medical Dentistry, University of Lissabon, Lissabon, Portugal</mods:affiliation></affiliation><affiliation><mods:affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="ISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="251">251</biblScope><biblScope unit="page" to="258">258</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1997-04">1997-04</date></imprint><idno type="ISSN">0305-182X</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0305-182X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Articulation</term><term>Bergman</term><term>Blackwell science</term><term>Carlsson</term><term>Clinical examination</term><term>Complete dentures</term><term>Dentistry</term><term>Denture</term><term>Elderly people</term><term>Elderly persons</term><term>Finnish</term><term>Functional properties</term><term>Helsinki</term><term>Makila</term><term>Mandible</term><term>Maxilla</term><term>Maxillary dentures</term><term>Mechanical condition</term><term>Occlusion</term><term>Oral health</term><term>Oral rehabilitation</term><term>Poor occlusion</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Study group</term><term>Subjective opinion</term><term>Vertical dimension</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Articulation</term><term>Bergman</term><term>Blackwell science</term><term>Carlsson</term><term>Clinical examination</term><term>Complete dentures</term><term>Dentistry</term><term>Denture</term><term>Elderly people</term><term>Elderly persons</term><term>Finnish</term><term>Functional properties</term><term>Helsinki</term><term>Makila</term><term>Mandible</term><term>Maxilla</term><term>Maxillary dentures</term><term>Mechanical condition</term><term>Occlusion</term><term>Oral health</term><term>Oral rehabilitation</term><term>Poor occlusion</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Prosthetic rehabilitation</term><term>Prosthetic treatment</term><term>Study group</term><term>Subjective opinion</term><term>Vertical dimension</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>denture</json:string><json:string>prosthetic</json:string><json:string>complete dentures</json:string><json:string>helsinki</json:string><json:string>oral rehabilitation</json:string><json:string>makila</json:string><json:string>prosthetic treatment</json:string><json:string>mandible</json:string><json:string>vertical dimension</json:string><json:string>maxilla</json:string><json:string>subjective opinion</json:string><json:string>elderly people</json:string><json:string>prosthetic dentistry</json:string><json:string>blackwell science</json:string><json:string>bergman</json:string><json:string>carlsson</json:string><json:string>dentistry</json:string><json:string>articulation</json:string><json:string>elderly persons</json:string><json:string>mechanical condition</json:string><json:string>clinical examination</json:string><json:string>study group</json:string><json:string>prosthetic rehabilitation</json:string><json:string>maxillary dentures</json:string><json:string>poor occlusion</json:string><json:string>functional properties</json:string><json:string>oral health</json:string><json:string>occlusion</json:string><json:string>finnish</json:string><json:string>replacement dentures</json:string><json:string>elderly residents</json:string><json:string>different evaluation methods</json:string><json:string>grabowski bertram</json:string><json:string>freeway space</json:string><json:string>mandibular dentures</json:string><json:string>poor articulation</json:string><json:string>community dentistry</json:string><json:string>oral epidemiology</json:string><json:string>lateral forces</json:string></teeft></keywords><author><json:item><name>M.J. NEVALAINEN</name><affiliations><json:string>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</json:string></affiliations></json:item><json:item><name>T. RANTANEN</name><affiliations><json:string>Helsinki IV College for Health Care Professionals, Helsinki, Finland</json:string></affiliations></json:item><json:item><name>T. NÄRHI</name><affiliations><json:string>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</json:string><json:string>Correspondence address: Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.</json:string></affiliations></json:item><json:item><name>A. AINAMO</name><affiliations><json:string>Faculty of Medical Dentistry, University of Lissabon, Lissabon, Portugal</json:string><json:string>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</json:string></affiliations></json:item></author><articleId><json:string>JOOR251</json:string></articleId><arkIstex>ark:/67375/WNG-7F5421NZ-6</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</abstract><qualityIndicators><score>8.917</score><pdfWordCount>4085</pdfWordCount><pdfCharCount>25526</pdfCharCount><pdfVersion>1.4</pdfVersion><pdfPageCount>9</pdfPageCount><pdfPageSize>541 x 720 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>236</abstractWordCount><abstractCharCount>1574</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title><genre><json:string>article</json:string></genre><host><title>Journal of Oral Rehabilitation</title><language><json:string>unknown</json:string></language><doi><json:string>10.1111/(ISSN)1365-2842</json:string></doi><issn><json:string>0305-182X</json:string></issn><eissn><json:string>1365-2842</json:string></eissn><publisherId><json:string>JOOR</json:string></publisherId><volume>24</volume><issue>4</issue><pages><first>251</first><last>258</last><total>8</total></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2038</json:string><json:string>1997</json:string><json:string>1914</json:string><json:string>1990</json:string><json:string>1904</json:string><json:string>1909</json:string><json:string>1991</json:string></date><geogName></geogName><orgName><json:string>Blackwell Science Ltd</json:string><json:string>WHO</json:string><json:string>University of Lissabon</json:string><json:string>Department of Prosthetic Dentistry, University of Helsinki</json:string><json:string>World Health Organization</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName></persName><placeName><json:string>Finland</json:string><json:string>Helsinki</json:string><json:string>United Kingdom</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>Heloe, 1973</json:string><json:string>Bergman, Carlsson & Hedegard, 1964</json:string><json:string>Nevalainen et al., 1996</json:string><json:string>Hoad-Reddick, 1989</json:string><json:string>Bergman & Carlsson, 1985</json:string><json:string>Tervonen, 1988</json:string><json:string>Ranta, 1987</json:string><json:string>Ainamo & Osterberg, 1992</json:string><json:string>Makila, 1974, 1977</json:string><json:string>Bergman, Carlsson & Ericson, 1971</json:string><json:string>Makila, 1977</json:string><json:string>Rayson et al. (1971)</json:string><json:string>Ritchie, 1973</json:string><json:string>Vehkalahti et al, 1991</json:string><json:string>WHO, 1987</json:string><json:string>Smith & Sheiham, 1979</json:string><json:string>Muller et al., 1994</json:string><json:string>Ramanen, 1976</json:string><json:string>Muller, Wahl & Fuhr, 1994</json:string><json:string>Juva et ai, 1993</json:string><json:string>Watt & MacGregor, 1986</json:string><json:string>Bernier et al. (1984)</json:string><json:string>Ainamo et al., 1993</json:string><json:string>Bernier, Shotwell & Razzoog, 1984</json:string><json:string>Bastiaan, 1976</json:string><json:string>Todd & Lader, 1991</json:string><json:string>Grabowski & Bertram, 1975</json:string><json:string>Makila, 1975a</json:string><json:string>Cabot & Roberts, 1984</json:string><json:string>Narhi etal, 1992</json:string><json:string>Makila, 1979</json:string><json:string>Narhi et al., 1992</json:string><json:string>Rayson et al, 1971</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/WNG-7F5421NZ-6</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - dentistry, oral surgery & medicine</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - dentistry</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Dentistry</json:string><json:string>3 - General Dentistry</json:string></scopus></categories><publicationDate>1997</publicationDate><copyrightDate>1997</copyrightDate><doi><json:string>10.1111/j.1365-2842.1997.tb00323.x</json:string></doi><id>07989A6D5903B1A1B31B124D16B4E79F30196124</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/07989A6D5903B1A1B31B124D16B4E79F30196124/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/07989A6D5903B1A1B31B124D16B4E79F30196124/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/07989A6D5903B1A1B31B124D16B4E79F30196124/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main">Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1997-04"></date></publicationStmt><notesStmt><note type="content-type" subtype="article" source="article" scheme="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</note><note type="publication-type" subtype="journal" scheme="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</note></notesStmt><sourceDesc><biblStruct type="article"><analytic><title level="a" type="main">Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title><author xml:id="author-0000"><persName><forename type="first">M.J.</forename><surname>NEVALAINEN</surname></persName><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland<address><country key="FI"></country></address></affiliation></author><author xml:id="author-0001"><persName><forename type="first">T.</forename><surname>RANTANEN</surname></persName><affiliation>Helsinki IV College for Health Care Professionals, Helsinki, Finland<address><country key="FI"></country></address></affiliation></author><author xml:id="author-0002" role="corresp"><persName><forename type="first">T.</forename><surname>NÄRHI</surname></persName><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland<address><country key="FI"></country></address></affiliation><affiliation>Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.</affiliation></author><author xml:id="author-0003"><persName><forename type="first">A.</forename><surname>AINAMO</surname></persName><affiliation>Faculty of Medical Dentistry, University of Lissabon, Lissabon, Portugal<address><country key="PT"></country></address></affiliation><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland<address><country key="FI"></country></address></affiliation></author><idno type="istex">07989A6D5903B1A1B31B124D16B4E79F30196124</idno><idno type="ark">ark:/67375/WNG-7F5421NZ-6</idno><idno type="DOI">10.1111/j.1365-2842.1997.tb00323.x</idno><idno type="unit">JOOR251</idno><idno type="toTypesetVersion">file:JOOR.JOOR251.pdf</idno></analytic><monogr><title level="j" type="main">Journal of Oral Rehabilitation</title><title level="j" type="alt">JOURNAL ORAL REHABILITATION</title><idno type="pISSN">0305-182X</idno><idno type="eISSN">1365-2842</idno><idno type="book-DOI">10.1111/(ISSN)1365-2842</idno><idno type="book-part-DOI">10.1111/jor.1997.24.issue-4</idno><idno type="product">JOOR</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">24</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="251">251</biblScope><biblScope unit="page" to="258">258</biblScope><biblScope unit="page-count">8</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1997-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p><hi rend="bold"><hi rend="smallCaps">summary</hi></hi> The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</p></abstract><langUsage><language ident="en"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/07989A6D5903B1A1B31B124D16B4E79F30196124/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1365-2842</doi><issn type="print">0305-182X</issn><issn type="electronic">1365-2842</issn><idGroup><id type="product" value="JOOR"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL ORAL REHABILITATION">Journal of Oral Rehabilitation</title></titleGroup></publicationMeta><publicationMeta level="part" position="04004"><doi origin="wiley">10.1111/jor.1997.24.issue-4</doi><numberingGroup><numbering type="journalVolume" number="24">24</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="1997-04">April 1997</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0025100" status="forIssue"><doi origin="wiley">10.1111/j.1365-2842.1997.tb00323.x</doi><idGroup><id type="unit" value="JOOR251"></id></idGroup><countGroup><count type="pageTotal" number="8"></count></countGroup><eventGroup><event type="firstOnline" date="2008-06-28"></event><event type="publishedOnlineFinalForm" date="2008-06-28"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-15"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:4.0.1" date="2014-03-20"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-30"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="251">251</numbering><numbering type="pageLast" number="258">258</numbering></numberingGroup><correspondenceTo>Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JOOR.JOOR251.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="referenceTotal" number="32"></count><count type="linksCrossRef" number="6"></count></countGroup><titleGroup><title type="main">Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>M.J.</givenNames><familyName>NEVALAINEN</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>T.</givenNames><familyName>RANTANEN</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1" corresponding="yes"><personName><givenNames>T.</givenNames><familyName>NÄRHI</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a3 #a1"><personName><givenNames>A.</givenNames><familyName>AINAMO</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="FI"><unparsedAffiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="FI"><unparsedAffiliation>Helsinki IV College for Health Care Professionals, Helsinki, Finland</unparsedAffiliation></affiliation><affiliation xml:id="a3" countryCode="PT"><unparsedAffiliation>Faculty of Medical Dentistry, University of Lissabon, Lissabon, Portugal</unparsedAffiliation></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b><sc>summary</sc></b> The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Complete dentures in the prosthetic rehabilitation of elderly persons: five different criteria to evaluate the need for replacement</title></titleInfo><name type="personal"><namePart type="given">M.J.</namePart><namePart type="family">NEVALAINEN</namePart><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.</namePart><namePart type="family">RANTANEN</namePart><affiliation>Helsinki IV College for Health Care Professionals, Helsinki, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">T.</namePart><namePart type="family">NÄRHI</namePart><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</affiliation><affiliation>Correspondence address: Dr Timo Närhi, Oral Function and Prosthetic Dentistry, University of Nijmegen, P.O. Box 9101, 6500 HB Nijmegen, the Netherlands.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">AINAMO</namePart><affiliation>Faculty of Medical Dentistry, University of Lissabon, Lissabon, Portugal</affiliation><affiliation>Department of Prosthetic Dentistry, Institute of Dentistry, University of Helsinki, Helsinki, Finland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1997-04</dateIssued><copyrightDate encoding="w3cdtf">1997</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="references">32</extent><extent unit="linksCrossRef">6</extent></physicalDescription><abstract>summary The purpose of this study was to examine the condition and functional properties, as well as adjustment and replacement needs, of 288 complete dentures worn by 144 inhabitants of Helsinki over 75 years old. Five different criteria to evaluate the need for replacement were used: (I) criteria based on Oral Health Surveys – Basic Methods (WHO, 1987); (II) criteria based only on the clinical data collected during the examination; (III) criteria based only on examiners' subjective opinion of the condition of the dentures; (IV) criteria based on clinical data as well as examiners' experience and consultation with the patient; (V) criteria based only on patients' subjective opinion. Depending on the evaluation method used, 10–84% of the dentures were judged to be in need of replacement. Strict objective evaluation methods produced the highest figures for replacement need, and method (I) (WHO, 1987) the lowest. The most justifiable replacement percentage (26%) was achieved when the dentist assessed treatment need together with the patient. This study documents the multiple subjective and objective difficulties related to the wearing of complete dentures. The study also highlights the well‐recognized importance of regular annual re‐examinations for those wearing complete dentures and the assessment of need for adjustment of the dentures. It also demonstrates that successful treatment decisions cannot be made solely on the basis of clinical examination or a dentist's subjective opinion, but should be formulated in close consultation with the patient.</abstract><relatedItem type="host"><titleInfo><title>Journal of Oral Rehabilitation</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><identifier type="ISSN">0305-182X</identifier><identifier type="eISSN">1365-2842</identifier><identifier type="DOI">10.1111/(ISSN)1365-2842</identifier><identifier type="PublisherID">JOOR</identifier><part><date>1997</date><detail type="volume"><caption>vol.</caption><number>24</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>251</start><end>258</end><total>8</total></extent></part></relatedItem><identifier type="istex">07989A6D5903B1A1B31B124D16B4E79F30196124</identifier><identifier type="ark">ark:/67375/WNG-7F5421NZ-6</identifier><identifier type="DOI">10.1111/j.1365-2842.1997.tb00323.x</identifier><identifier type="ArticleID">JOOR251</identifier><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-L0C46X92-X">wiley</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/07989A6D5903B1A1B31B124D16B4E79F30196124/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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